Is G07 a billable ICD-10-CM code?

Yes. G07 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does G07 sit in the tabular list?

Diseases of the nervous system (G00-G99), in the block Inflammatory diseases of the central nervous system (G00-G09).

What cannot be coded together with G07?

G07 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

G07

G07 — Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere

Billable / specific codeICD-10-CM

G07 is a billable, specific ICD-10-CM code for intracranial and intraspinal abscess and granuloma in diseases classified elsewhere. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

abscess of brain:
amebic (A06.6)
chromomycotic (B43.1)
gonococcal (A54.82)
tuberculous (A17.81)
tuberculoma of meninges (A17.1)

Code first

The underlying condition must be sequenced before this code.

underlying disease, such as:
schistosomiasis granuloma of brain (B65.-)

Risk adjustment

G07 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

G07 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56396Billing and Coding: Lumbar Spinal Fusion
A57204Billing and Coding: MRI and CT Scans of the Head and Neck
A57206Billing and Coding: Lumbar MRI

Questions about G07

Is G07 a billable ICD-10-CM code?: Yes. G07 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does G07 sit in the tabular list?: Diseases of the nervous system (G00-G99), in the block Inflammatory diseases of the central nervous system (G00-G09).
What cannot be coded together with G07?: G07 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.